Mt. Proctor et al., REDISPLACEMENT AFTER MANIPULATION OF DISTAL RADIAL FRACTURES IN CHILDREN, Journal of bone and joint surgery. British volume, 75(3), 1993, pp. 453-454
We reviewed 68 fractures of the distal radius in children, all treated
by primary manipulation and plaster immobilisation. Complete displace
ment of the fracture and failure to achieve a perfect reduction were b
oth associated with a significant increase in the chance of redisplace
ment. We recommend the use of percutaneous Kirschner wires to maintain
a satisfactory position in all cases in which a perfect reduction can
not be achieved.